Bronquiectasia e fisioterapia desobstrutiva: ênfase em drenagem postural e postural e a percussão são efetivas na mobilização da secreção pulmonar, uma . NAC. rtousp () Limpeza brônquica na portadores de bronquiectasia, atendidosno Laboratóriode Fisioterapia Respiratória do. Primera página del artículo de sobre bronquiectasias. y no están tan habituados al empleo de la fisioterapia respiratoria como tratamiento. na. De todos ellos, el análisis multivariado determinó que la presencia de obstrucción.

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Bronchiectasis: diagnostic and therapeutic features A study of patients

The most common symptoms were cough Fink [15] bronquifctasia that in the clinical practice, percussion with postural drainage is effective in the transportation of pulmonary secretions improving the well-being of the patient. Fisiotwrapia em piscina na bronquiectasia: Moreover, the final positive expiratory pressure stabilized or improved the pulmonary function, a result that had already been demonstrated in another study in by the same authors, who compared the positive expiratory pressure with postural drainage and percussion with the former being more efficacious.

In Brazil, the main causes are viral or bacterial respiratory infections during fsiioterapia as well as tuberculosis [7]. Brit Med J ; 1: It predominantly affects women of between 28 and 48 years bronauiectasia and more frequently affects the inferior lobes.

Obliterative bronchitis and bronchiolitis with bronchiectasis. Fink [15] reported that nine of twelve possible positions are required to drain all the areas of the lungs.

Pulmonary function tests in fifty patients with bronchiectasis. Among the resources utilized for bronchial clearance, postural drainage with percussion have been the subject of few studies, except when they are associated to other techniques, with the exception of the study by Van der Schans et al. Finally, McIlwaine et al.


Curr Opin Infect Dis. Bronchopulmonary hygiene physical therapy in bronquiectasis and chronic obstructive disease: Bilateral pulmonary resection for bronchiectasis: Services on Demand Journal. The immunological component of the celular inflammatory infiltrate in bronchiectasis. A review of cases. OBJECTIVE To verify the efficacy of postural drainage with percussion on the bronchial hygiene of bronchiectasic patients in recent studies as well as the effect on associations with other techniques.

In this context, this study aimed at evaluating the efficaciouness of postural drainage and chest clapping on bronchus clearence in bronchiectasis patients and to compare the effects and associations of these techniques with others reported in the literature. Physiotherapy and bronchial mucus transport. Predicting outcome following pulmonary fisiotetapia in cystic fibrosis patients.

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Analyzing the results, they observed a greater impact on the health of the patients that utilized Flutter, reflected in the number of hospitalizations and in the pulmonary function.

Pryor [13] stressed the efficiency of the maneuvers of forced expiration and Caromano et al.

Postural drainage, bronquiectasoa, vibration, shaking, cough and forced expiration techniques were utilized. The contraindications, according to the American Association of Respiratory Careas reported by Fink [15] include pulmonary tuberculosis, tumoral resection from fisiterapia thorax or neck, pulmonary contusion and coagulopathies. For this reason, in some countries, physiotherapists have utilized techniques that facilitate application and thus independence of the patient [13].

Nevertheless, the final positive expiratory pressure technique provides a significantly greater improvement in the pulmonary function when compared to postural drainage with percussion. Current strategy for surgical management of bronchiectasis. Os pacientes tratados cirurgicamente tiveram acentuada melhora dos sintomas, raramente necessitando ser reinternados.


With the evolution of the disease, there is a reduction in the expiration volume and vital capacity, the pulmonary tissue becomes retracted with pleural adherences; the bronchiectasic segments present with purulent secretions; the mucous membrane become swollen and ulcerated and the tissue of the mucociliary lining becomes cubic [1,5].

Clinical, pathophysiologic, and microbiologic characterization of bronchiectasis in an aging cohort. The efficacy of percussion and postural drainage requires the assistance of a professional, which can make the daily use of therapy difficult [16]. Hypersecretion of the airways predominates in the morning or with changes in position, the patients can present with hemoptysis, weight loss, lack of appetite, halitosis, lethargy and prostration.

The techniques require care in their application and some are performed independently such as Flutter, autogenic drainage and the positive expiratory pressure technique and others not, such as postural drainage, percussion, intrapulmonary percussive ventilation and vibrocompression. However, due to the emergence of preventative programs in developed countries, the number of hospitalizations for bronchiectasis has dropped over the last few decades, bronquisctasia high prevalence and incidence only in under-developed countries [4,5].

Arcasoy SM, Fisioterpaia R.

Bronchiectasis is classified in cylindrical, varicose and saccate and in focal or multiple segmental. Am Rev Respir Dis ; The Brazilian Journal of Cardiovascular Surgery is indexed in:

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